NPI 1013475060
Shannon Rachel Faxon
Practice location
- Address
- 120 Mount Hunger Shore Rd, Windham, ME 04062-5636
- Phone
- (207) 831-6704
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1013475060
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Mar 2019
- Record last updated
- 8 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.